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Key Considerations for Health Plans: Partnering with Community-Based Organizations to Address Social Determinants of Health
Click Here to Access the Brief People dually eligible for Medicare and Medicaid often experience more complex health issues and worse health outcomes than people eligible only for Medicare.1 These health disparities are often related to factors outside the health
[...]Published Date: March 10, 2021 -
Community Health Workers
In recent years, health plans and providers seeking to provide culturally competent care and services to individuals from diverse backgrounds have incorporated community health workers (CHWs) in interdisciplinary care teams.1 CHWs – also known as promotoras de salud, community health
[...]Published Date: November 1, 2019 -
Resource Document: Recognizing Co-Occurring Acute and Chronic Conditions when Working with the Autistic Adult Population
This resource describes common and co-occurring conditions that may occur alongside a primary autism diagnosis in adults and how to recognize behavioral or functional changes associated with these conditions. Click here to access the resource document. Attachments: Recognizing
[...]Published Date: July 19, 2019 -
Resource Document: Communication and Interaction Challenges for Autistic Adults
Autism and autism spectrum disorder (ASD) are terms for a group of complex neurodevelopmental disabilities that affect social communication, sensory processing, and scope of interests. While autism is typically diagnosed in children, approximately one percent of adults meet the criteria
[...]Published Date: July 19, 2019 -
Organizational Cultural Competence
This brief focuses on organizational cultural competence strategies for LTSS providers. Other briefs in this series provide specific considerations for training, recruitment, and retention of direct care workers. Click here to view the brief.
[...]Published Date: July 9, 2019 -
Recruiting and Retaining a Diverse Direct Care Workforce
This brief focuses on strategies for recruiting and retaining a diverse direct care workforce, while companion briefs in this series discuss direct care worker training and organizational cultural competence. Click here to view the brief.
[...]Published Date: July 9, 2019 -
Training Culturally Competent Direct Care Workers
This brief focuses on strategies for training direct care workers in cultural competence; additional briefs in this series focus on organizational cultural competence and recruiting and retaining a diverse direct care workforce. Click here to view the brief.
[...]Published Date: June 7, 2019 -
Training and Credentialing for Behavioral Health-Focused LTSS: Considerations for Health Plans
Behavioral health long-term services and supports (LTSS) such as health navigation peer support, and developmental therapy assist members by coordinating care and integrating appropriate supports. The services are designed to assist members with mental illness, addiction, and developmental disabilities and
[...]Published Date: April 15, 2019 -
Issues HCBS Providers may Negotiate with Health Plans: Key Considerations for Providers
As more states shift to managed long-term services and supports (LTSS) for their Medicaid programs, your organization may need to contract with health plans. Health plans may be accustomed to contracting for institutional-based acute care services but may not have
[...]Published Date: April 15, 2019 -
Billing for Services: Key Considerations for Providers
Your organization may be required to change billing practices upon contracting, or entering into an agreement, with a health plan. Submitting a formal medical billing claim form may be a new experience for your organization. Your organization may be used
[...]Published Date: April 15, 2019